Gouty arthritis.

Gouty arthritis.

Gouty arthritis — a disease of the joints that occurs in case of violation of uric acid metabolism in the body. Its crystals are deposited in the joints and tendons, kidney and other tissues, causing their inflammation and distortion of the structure. Gout most often occurs in men aged 35-60 years, and for women — after 55-60 years. Gouty arthritis depends on the metabolic disturbances in the body, with an excess of animal food only adds to the disease, and not yavone to the immediate cause of its occurrence.
Contributing factors of gouty arthritis:
— Systematic overeating meat;
— Alcohol abuse;
— Kidney disease, hypertension;
— A sedentary lifestyle, obesity;
— Heredity;
— Taking certain medications;
— Hypothermia.

In some diseases (congenital and acquired heart diseases, some types of leukemia, lead poisoning, taking diuretics, aspirin (for the prevention of stroke and heart attack), Riboxinum etc.) Gout is secondary. When gout in a large amount of blood uric acid and purine compounds produced in excessive amounts or slowly evolved. There may be a combination of these processes. These acid crystals deposited in the form (urate) in the joints, tendons, kidneys. When gout under the skin produces small (on average up to 1 cm in diameter) nodules — tophi. This accumulation of salts — urate, which are surrounded by a capsule of connective tissue. Most process affects the joints big toes (often only one), sometimes hands, at least — ankle, elbow, knee joints. The shoulder and hip joints in gout suffer rare.

When gouty arthritis joints swell greatly over them increases the temperature of the skin is purple. The patient feels very strong pain: even the slightest The Touch skin to become unbearable. At the same time fever, chills occur. Gout is often exacerbated by a sudden, often — at night. The average attack lasts from 2 to 7 days, sometimes it takes even without treatment.

Sometimes bursitis can occur in the knee and elbow joints. In 10% of patients after the first attack of gout is observed long-term (up to 10 years or more) in remission, the rest — recurrences 2-3 times a year. Each number should begin the process involved in the joints can grow and seizures — to become longer and heavier. single tophi or multiple of the hands and feet, as well as under the skin on the ears and on the back surface of the elbow joints indicate chronic gout, since they tend to occur at least 3-5 or more years after the first gouty attack.
Tophi often formed not only under the skin, but also in the kidney and other internal organs.

Gouty arthritis often is combined with diabetes, hypertension, obesity. In 20-40% of patients suffering from gout develop kidney stones, renal failure, atherosclerosis may occur over time. All these diseases are mutually reinforce each other.
Sometimes an attack of kidney stones — this is the first manifestation of gout, which is revealed after examination of the patient due to urolithiasis.

Gouty arthritis

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